| NPI | 1295022366 |
|---|---|
| Doing Business As | LIFE LYNE CHRISTIAN COUNSELING LLC |
| Entity Type | Organization |
| Authorized Contact | NADIA SURIN Program Director 443-739-8732 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 16619) |
| Additional Taxonomies | 101YP1600X Counselor, Pastoral (Licence: MD 14786) |
| Enumeration Date | 2011-07-08 |
| Last Update Date | 2011-11-04 |